Does your district allow narcotics in the clinic? - page 2

Our policy has always been no... if your child still requires narcotic medication, they should be at home getting it, due to the side effects, plus we don't like having it at school regardless of... Read More

  1. by   MrNurse(x2)
    Tylenol3 isn't even used in the hospitals, IBU is given instead.
  2. by   kidzcare
    Quote from MrNurse(x2)
    Tylenol3 isn't even used in the hospitals, IBU is given instead.
    My daughter was given Tylenol 3 in the ER with her broken arm last year. But her ortho switched it to Norco right away. And post-op she had Norco and dilaudid.


    I have had a student have Norco in the school once. It was after a surgery and a "just in case" dose. He never needed it. I think mom brought in 2 pills.

    It depends on how it affects you. I can have Norco and the only result is pain relief. I could drive or otherwise fully function as an adult. But Tyl #3 knocked me out for 12 hours once. The last time a dr suggested it, I declined.
  3. by   3ringnursing
    My son missed 2 wks of school for a Fx'd clavicle in 7th grade, and he absolutely still needed the vicodin when he returned still in a sling, poor guy.

    The middle school he went to didn't have an RN, or even an MA - it was manned by volunteer parents if you can believe it (the district was in dire straights after a school board member embezzlement and fly by night).

    The parent health office monitor was very upset I wanted to sign in 2 vicodin. I was on medical disability at the time, so if he needed it I just drove to the school, signed in and met him at the health office with a snack to go with it. It sucked, but what else could I do? Missing 2 weeks of school was a nightmare to make up, and he was getting stir crazy. By this time he was already acclimated to it and not unfit for school duty.

    The day he said he didn't need the vicodin any more was a joyous day for everyone involved.
  4. by   JustbeRN
    I have to ask- are you really seeing MD prescribing Tylenol with codeine anymore ? Codeine is contraindicated for pain in children. I didn't like it when I did ambulatory surgery and recovered kids and that was years ago.. now they are adding Tramadol to this list....
    i know my daughter is a ultra metabolizer via genetic testing years after her T/A. She had a terrible time with Tylenol and codeine after that surgery- switched to two days of roxicet and she was fine.
    Last edit by JustbeRN on Apr 21
  5. by   kidzcare
    Quote from mamalle2
    I have to ask- are you really seeing MD prescribing Tylenol with codeine anymore ? Codeine is contraindicated for pain in children.
    It was prescribed in the ER for my daughter's displace humerous fracture a year ago (she was 11). She took it for a week before it was switched to Norco.
  6. by   JustbeRN
    I think that will change with the newest FDA guidelines coming out regarding codeine and tramadol. ( I have never seen tramadol prescribed for a pediatric patient )
  7. by   SassyTachyRN
    Quote from mamalle2
    I have to ask- are you really seeing MD prescribing Tylenol with codeine anymore ? Codeine is contraindicated for pain in children. I didn't like it when I did ambulatory surgery and recovered kids and that was years ago.. now they are adding Tramadol to this list....
    i know my daughter is a ultra metabolizer via genetic testing years after her T/A. She had a terrible time with Tylenol and codeine after that surgery- switched to two days of roxicet and she was fine.
    I just saw the newest recommendations yesterday posted on the AAP site. Mom did hand me the bottle and it was Tylenol with codeine and this kiddo is 8 years old. I am not sure if the ortho prescribed or if the ER prescribed. We are now 12 days post injury and the child is still on it.

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